Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.78 / $2,561.00 / $8,294.00	Facility		$212.78	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $198.88 / $260.87	Professional		$168.39	$198.88	$260.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $214.19 / $313.27	Professional		$163.85	$214.19	$313.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.30 / $194.55 / $358.38	Professional		$178.30	$194.55	$358.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.33 / $610.00 / $1,572.88	Facility		$205.33	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.37 / $222.59 / $423.60	Professional		$165.37	$222.59	$423.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.45 / $215.56 / $333.00	Professional		$172.45	$215.56	$333.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $224.41 / $329.81	Facility		$178.00	$224.41	$329.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.45 / $241.00 / $407.00	Professional		$201.45	$241.00	$407.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.63 / $209.66 / $419.91	Facility		$164.63	$209.66	$419.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $209.66 / $419.91	Professional		$164.63	$209.66	$419.91
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,978.00 / $12,680.00	Facility		$908.00	$5,978.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $200.35 / $327.60	Professional		$137.72	$200.35	$327.60